AC-AEP Sample Application Form

AC-AEP Sample Application Form

*Asterisks denote compulsory fields

Please avoid the use of the following characters in your application and document file names:
< > ‘ ’ = ? ! % ^ ( ) – [ ]

A)  Contact Details

Name of Arts Group Representative*:
Email*:
Contact Number*:

B)  General Project Information

Project Title*:
Art Form*: / This is a drop-down list of the following art forms:
-  Visual Arts
-  Music
-  Dance
-  Theatre
-  Film & Multimedia
-  Literary Arts
*For multidisciplinary programmes, please pick a primary art form.
Type of Programme*: / This is a check-box list of the following art forms:
-  Exposure (Please fill in Section C1)
-  Excursion (Please fill in Section C2)
-  Experience (Please fill in Section C3)
Venue Required:
Technical Requirements*: / This is a checkbox list of the following languages:
-  None
-  PA System
-  DVD Player
-  Visualiser
-  Microphone
-  Others: ______
Language*: / This is a checkbox list of the following languages:
-  English
-  Malay
-  Mandarin
-  Tamil
Target Audience*: / This is a checkbox list of the following target audiences:
-  Pri-Lower
-  Pri-Upper
-  Sec-Lower
-  Sec-Upper
-  JC/CI
-  ITE
-  Special Education School
Total cost of programme*: / Please include the cost of all materials and GST, if applicable.
Outline of Programme / Synopsis*: / Please provide a detailed description of your programme in less than 5000 characters.
Learning objectives*: / Please provide a detailed list of programme objectives in less than 3000 characters.

C)  Detailed Programme Information

*Please fill in one of the following (C1, C2 or C3) based on your specific programme type as indicated in Section B.

C1) Exposure

Number of presenters/performers per session*:
Duration*:
Upload programme outline/script(s) *: / Please upload relevant file(s) in Microsoft Word or PDF format
(Max size: 2MB)
Note: If the attachment exceeds the 2MB limit, you may either
1.  Email the attachment to , indicating clearly the Arts Group/ Artist name and the Programme Title
2.  Mail the documents to National Arts Council (Attn: Arts Education Unit) at Goodman Arts Centre, 90 Goodman Road, Blk A #01-01, Singapore 439053.
All documents should reach us no later than the application deadline.

C2) Excursion

Number of instructors*:
Duration*:
Cost per student per hour*:
Upload lesson plan(s)*: / Please upload relevant file(s) in Microsoft Word or PDF format
(Max size: 2MB)
Note: If the attachment exceeds the 2MB limit, you may either
1.  Email the attachment to , indicating clearly the Arts Group/ Artist name and the Programme Title
2.  Mail the documents to National Arts Council (Attn: Arts Education Unit) at Goodman Arts Centre, 90 Goodman Road, Blk A #01-01, Singapore 439053.
All documents should reach us no later than the application deadline.

C3) Experience

Number of instructors per session*:
Number of sessions per workshop*:
Duration per session*:
Total number of hours*:
Number of students per class*:
Instructor to student ratio*: / 1:
Cost per student per hour*:
Upload lesson plan(s)*: / Please upload relevant file(s) in Microsoft Word or PDF format
(Max size: 2MB)
Upload evaluation rubrics: / Please upload relevant file(s) in Microsoft Word or PDF format
(Max size: 2MB)
Note: If the attachment exceeds the 2MB limit, you may either
1.  Email the attachment to , indicating clearly the Arts Group/ Artist name and the Programme Title
2.  Mail the documents to National Arts Council (Attn: Arts Education Unit) at Goodman Arts Centre, 90 Goodman Road, Blk A #01-01, Singapore 439053.
All documents should reach us no later than the application deadline.